目的 调查甘肃省创伤中心医护人员应用损伤严重度评分（injury severity score,ISS）的知信行现状,为管理者采取针对性措施加强创伤中心联合体区域建设提供依据。方法 2021年7月—8月,采用分层整群抽样法,选取甘肃省24所创伤中心的404名医生、443名护士,采用自制的创伤中心医护人员ISS知信行问卷进行横断面调查。结果 创伤中心医护人员ISS知识维度得分为（7.15±1.89）分,信念维度得分为（35.53±5.01）分,行为维度得分为（30.14±7.34）分。多元线性回归分析显示,学历、工作年限、是否了解ISS、是否接受过ISS相关培训是创伤中心医护人员ISS知信行总分的影响因素（P<0.05）。结论 甘肃省创伤中心医护人员对于ISS相关知识掌握不够全面,态度较积极,行为有待提高,管理者应完善培训体系,以提高创伤中心医护人员的ISS临床应用知信行水平。
Objective To investigate the status quo of knowledge,attitude and behavior of doctors and nurses using Injury Severity Score（ISS）in trauma centers of Gansu Province,and analyze the influencing factors. Methods From July to August 2021,404 doctors and 443 nurses from 24 trauma centers in Gansu Province were included by stratified cluster sampling method,and a cross-sectional survey was conducted using the self-made ISS knowledge and practice questionnaire for medical staff in trauma centers. Results ISS scored（7.15±1.89）points in applied knowledge dimension,（35.53±5.01）points in belief dimension and （30.14±7.34）points in behavior dimension. Multiple linear regression analysis showed that educational background,working years,previous understand of ISS and training related to ISS were the influencing factors for the total score of ISS application knowledge,attitude and behavior（P<0.01）. Conclusion The doctors and nurses in the trauma center do not have a comprehensive understanding of ISS knowledge,and their attitude is positive,but their behavior needs to be improved. Managers should improve the training system,pay attention to the combination of theory and practice,and strengthen the training of doctors and nurses in ISS application knowledge and behavior,so as to improve their knowledge,attitude and practice level of its application.
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